You can help the Asian Anti-Cancer Materia Database project accomplish its goal by supporting our 501(c)(3) nonprofit organization with tax-deductible contributions. Please print this form, enclose a check for the donation amount Payable to: Institute of East-West Medicine, and mail to:

Institute of East-West Medicine
102 E 30th Street
New York, NY 10016


1. Please provide the following information:

First Name: Last Name:
Address: City:
State: Zip Code:
E-Mail Address:    

2. Please select the amount of your pledge:$

3. For donations of $1000 or more, gifts can be made in honor of an individual, friend, or family member:
Gift in honor of

4. Please provide us permission to publicly acknowledge your gift:
Yes, please acknowledge my gift
No, I prefer to remain anonymous

More Information

Statement of Ethics
The Institute of East-West Medicine is a 501(c)(3) nonprofit organization that operates under the highest ethical standards and business practices meeting or exceeding the guidelines of the U.S. IRS. We protect confidentiality of all financial information and do not sell our donor list.

Important Tax Information
Gifts to The Institute of East-West Medicine are tax deductible within the limits of current Federal and State laws. Tax laws require a receipt for individual payments of $250 or more to a charity. When you contribute $250 or more, The Institute of East-West Medicine will send you a receipt before December 31 of the tax year of the donation. We will send you a receipt to file with your canceled check or credit card statement for your tax records.

Donor Inquiry
Please call us (212-683-2111) or email us ( with any questions about becoming a donor to Institute of East-West Medicine.